Important information about Viagra
Do not take Viagra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Viagra with a nitrate medicine can cause a sudden and serious decrease in blood pressure. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of Viagra.
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Dosage of Viagra
The recommended dose for most patients is 50 mg taken as needed about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. Depending on effect and tolerability, the dose may be increased to a maximum dose of 100 mg daily or reduced to 25mg daily. It should not be used more than once daily.
Individuals older than 65 years, with liver failure or creatinine clearance <30 ml/min, or using potent cytochrome P450 inhibitors (for example, erythromycin, ketoconazole, itraconazole, and saquinavir [Invirase]) should start at 25 mg.
Individuals taking ritonavir should not exceed 25 mg daily in any 48 hour period.
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